Auburn Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Mount Vernon, MO
NPI 1104900364 · NPPES record last updated Jun 10, 2024
Key facts
- NPI
- 1104900364
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- AUBURN PHARMACY INC
- Practice address
- 606 E Mount Vernon Blvd
Mount Vernon, MO 65712-9100 - Phone
- (417) 466-2000
- Fax
- (417) 466-2028
- NPI assigned
- Oct 24, 2006
- Reactivated
- Apr 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael W Burns, RPH
- Title
- Owner/Ceo
- Phone
- (785) 448-3600
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 15
Practitioners 14
-
Brandon Blehm, PHARMD
-
Melissa Curless, PHARMD
-
Tony R Folsom, RPH
-
Conner J Gast, PHARMD
-
Melissa Gilkison, PHARM D
-
Sebastian Menez, PHARMD
-
Logan Anthony Miner, PHARMD
-
Matthew S Ricke, PHARMD
-
Brianna Stamm, PHARMD
-
Kaylene Stanton, PHARM.D.
-
Whittney Steele, PHARM D
-
Andrea Williams, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2307781 | Hometown Pharmacy #267 | Certificate of waiver | Jul 14, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Villa Maria |
Skilled nursing facility | Adp of the SNF | Jul 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180219002289 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 1355377276 |
10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Independence, MO; Smithville, MO; Rich Hill, MO; Parkville, MO; Nevada, MO; Mount Vernon, MO; Lamar, MO; Holden, MO… |
| O20240916001499 | MO | DME Supplier - Pharmacy |
1355377276 | Practice locations: Mount Vernon, MO |
National Provider Directory
- Tax ID family
- Auburn Pharmacy Inc
Locations
400 Ames St
Baldwin City, KS 66006
Phone (785) 594-0340
216 N Harrison St
Lindsborg, KS 67456
Phone (785) 227-3374
209 W 2nd St
Minneapolis, KS 67467
Phone (785) 392-2213
401 W Frontier Ln
Ste 300
Olathe, KS 66061
Phone (913) 294-9125
134 S Main St
Ottawa, KS 66067
Phone (785) 242-2055
1011 Baptiste Dr
Paola, KS 66071
Phone (913) 294-9125
311 N Hospital Dr
Paola, KS 66071
Phone (913) 294-3516
601 Main St
Wellsville, KS 66092
Phone (785) 883-2462
1012 Poplar St
Ste A
Wellsville, KS 66092
Phone (785) 883-2462
5318 W Central Ave
Wichita, KS 67212
Phone 3162528600 ext. 1504
1200 E 10th St
Ste B
Holden, MO 64040
Phone (816) 732-5514
54B SE 1st Ln
Lamar, MO 64759
Phone (417) 681-0999
105 S Oak St
Nevada, MO 64772
Phone (417) 667-3214
301 N 14th St
Rich Hill, MO 64779
Phone (417) 395-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
606 E Mount Vernon Blvd
Mount Vernon, MO 65712-9100
Mailing address
259 W Park Rd
Garnett, KS 66032-1080
Phone (785) 448-3600
Other names
- Hometown Pharmacy #267
Other providers in Mount Vernon, MO
- Troy Alan Adrian
- Gary Lee Allred
- Thomas Alms Jr.
- Mary Elisabeth Aslin
- Auburn Pharmacy Inc
- Meghan Austin
- Autumn Court Healthcare Center LLC
- Brandon Keith Barker
- Paul N Beard
All providers in Mount Vernon, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.